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DR. TRACEY SOPHIA OTTO MD
NPI 1215666995
Dermatology in Worcester, MA

Active since June 07, 2022PECOS Enrolled
281 LINCOLN ST, WORCESTER, MA 01605(508) 334-5979(508) 334-5232 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Jun 7, 2022 (2 updates tracked since 2022).

About Dr. Tracey Sophia Otto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACEY SOPHIA OTTO MD (NPI 1215666995) is an individual dermatology provider in Worcester, Massachusetts, licensed in Massachusetts (293470) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215666995
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. TRACEY SOPHIA OTTOCredential: MD
Location Address281 LINCOLN STWorcester, MA 01605-2138
Mailing Address330 Brookline AveBoston, MA 02215-5400
Phone(508) 334-5979
Fax(508) 334-5232
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1215666995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 293470
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 293470 (MA)
281 LINCOLN ST, Worcester, MA 01605
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracey Sophia Otto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY AILEEN MEULENAERE OTR/L
Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
RACHEL NOONE PA-C
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6158
DR. THOMAS EVANS M.D.
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
RAJIV BALASURIYA M.D.
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
DR. DANIEL LEE M.D., PHD
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-1131
MEGAN ELIZABETH KLEIN MS, CCC-SLP
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ANKUR SHAH NARAIN MD
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1955
THOMAS MICHAEL CERVANTES
Plastic Surgery (Surgery of the Hand)
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Otto's NPI number?

The NPI number for Tracey Otto is 1215666995. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Tracey Otto located?

Tracey Otto practices at 281 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-5979.

What is Tracey Otto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Tracey Otto enrolled in Medicare?

Yes. Tracey Otto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracey Otto was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.